NPI 1144519125
Purpose of Life
Practice location
- Address
- 2601 Palm Ave, Charlotte, NC 28205-2239
- Phone
- (704) 345-8825
- Fax
- (704) 900-0787
Authorised official
- Name
- Joanna Burch
- Title
- Executive Director
- Phone
- (704) 345-8825
Registered specialties
Point of Service
Primary
Registry record
- NPI
- 1144519125
- Entity type
- Organization
- NPI issued
- 30 Mar 2011
- Record last updated
- 30 Mar 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.